Individual
NICOLE MOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
177 W 200 S, VALPARAISO, IN 46385-9607
(219) 973-9584
Mailing address
177 W 200 S, VALPARAISO, IN 46385-9607
(219) 973-9584
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
33012408A
IN
104100000X
Social Worker
33012408A
IN
Other
Enumeration date
11/21/2025
Last updated
11/21/2025
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